NPRC MV

Which of the following issues would most likely explain why a newborn infant’s measured respiratory rate would rise from 40 to 100 breaths/minute on a ventilator after the patient was turned and an audible endotracheal tube leak was heard? 

• Pneumothorax

• Auto-triggering

• Secretions

• Bradypnea

A 600-g neonate is being mechanically ventilated in pressure control ventilation with the following settings: PIP, 24 cm H2O; PEEP, 4 cm H2O; Fio2, 0.45; respiratory rate, 40 breaths/minute. Which inspiratory time should the clinician recommend? 

• 0.6 Sec

• 0.8 Sec

• 0.3 Sec

• 1.0 Sec

The physician would like to begin dual-control ventilation of a 500-g infant. What would be the initial corrected volume target? 

• 5 mL/Kg

• 7 mL/Kg

• 8 mL/Kg

• 10 mL/Kg

An infant patient with respiratory syncytial virus (RSV) is receiving mechanical ventilation in the pressure control mode with the following current settings: PIP, 14 cm H2O; PEEP, 5 cm H2O; Fio2, 0.50; respiratory rate, 30 breaths/minute. The patient has poor chest rise bilaterally, and breath sounds are diminished with crackles bilaterally. You notice that the measured tidal volume is 3 mL/kg and the respiratory rate is 80 breaths/minute. The patient has nasal flaring, retractions, and head bobbing. What should be suggested at this time?

• Placing the patient on HFOV

• Decreasing the respiratory rate

• Using neuromuscular blocking agent

• Suctioning the patient

Which ventilator approach would be good for a 10-year-old with severe ARDS who is spontaneously breathing while undergoing ventilation? 

• PCV

• NAVA

• APRV

• PSV